Journal article
Combined Direct Repair and Inline Inflow Stenting in the Management of Aortoiliac Disease Extending Into the Common Femoral Artery
Vascular and endovascular surgery, Vol.45(3), pp.274-282
04/2011
DOI: 10.1177/1538574410395037
PMID: 21478247
Abstract
Purpose: Describe a hybrid approach to simplify management of complex aortoiliac occlusive disease (AIOD) extending into the common femoral artery (CFA). Methods: Retrospective review of 56 patients who underwent hybrid management of AIOD extending into CFA between January 2003 and February 2007. Two distinct hybrid approaches were compared: Inline (iliac stenting continuous with an open CFA reconstruction, 38 limbs in 37 patients) and tandem (noncontiguous stenting of an upstream iliac segment, 20 limbs in 19 patients). The median follow-up duration was 15 ± 12 months in the inline group and 24 ± 12 months in the tandem group. Results: Technical success was achieved in all but 1 procedure. Clinical and hemodynamic responses to the interventions and limb loss rates were comparable in both groups. Survival table analysis showed no significant difference between inline and tandem reconstructions. Conclusions: Inline stenting represents a lesser invasive revascularization choice in complex AIOD with contiguous involvement of the CFA.
Details
- Title: Subtitle
- Combined Direct Repair and Inline Inflow Stenting in the Management of Aortoiliac Disease Extending Into the Common Femoral Artery
- Creators
- Melhem J Sharafuddin - Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, IA, USA, Department of Radiology, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, IA, USATimothy F Kresowik - Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, IA, USAJamal J Hoballah - Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, IA, USARachael M Nicholson - Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, IA, USAWilliam J Sharp - Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Vascular and endovascular surgery, Vol.45(3), pp.274-282
- Publisher
- SAGE Publications; Los Angeles, CA
- DOI
- 10.1177/1538574410395037
- PMID
- 21478247
- ISSN
- 1538-5744
- eISSN
- 1938-9116
- Language
- English
- Date published
- 04/2011
- Academic Unit
- Radiology; Surgery
- Record Identifier
- 9984051786202771
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